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The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study

Although fatigue usually goes unnoticed, it is a symptom that poses great challenges to patients with fibromyalgia and is a strong limitation. The aim of this study is to identify and describe the variables involved in fatigue in nine different situations of the Goal Pursuit Questionnaire (GPQ) that...

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Autores principales: Velasco-Furlong, Lilian, Gutiérrez-Hermoso, Lorena, Mateos-Pintado, Beatriz, Castro, Daniel Garvi-de, Blanco-Rico, Sheila, Sanromán-Canelada, Lucía, López-Roig, Sofía, Pastor-Mira, María Ángeles, Peñacoba-Puente, Cecilia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504300/
https://www.ncbi.nlm.nih.gov/pubmed/32867186
http://dx.doi.org/10.3390/ijerph17176224
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author Velasco-Furlong, Lilian
Gutiérrez-Hermoso, Lorena
Mateos-Pintado, Beatriz
Castro, Daniel Garvi-de
Blanco-Rico, Sheila
Sanromán-Canelada, Lucía
López-Roig, Sofía
Pastor-Mira, María Ángeles
Peñacoba-Puente, Cecilia
author_facet Velasco-Furlong, Lilian
Gutiérrez-Hermoso, Lorena
Mateos-Pintado, Beatriz
Castro, Daniel Garvi-de
Blanco-Rico, Sheila
Sanromán-Canelada, Lucía
López-Roig, Sofía
Pastor-Mira, María Ángeles
Peñacoba-Puente, Cecilia
author_sort Velasco-Furlong, Lilian
collection PubMed
description Although fatigue usually goes unnoticed, it is a symptom that poses great challenges to patients with fibromyalgia and is a strong limitation. The aim of this study is to identify and describe the variables involved in fatigue in nine different situations of the Goal Pursuit Questionnaire (GPQ) that may occur in the daily lives of women with fibromyalgia, according to an ABC (Antecedents–Behaviors–Consequences) model. This study followed a qualitative descriptive research method and a deductive–inductive hybrid approach based on a phenomenological paradigm. Twenty-six women with fibromyalgia participated in focus group discussions between February and March of 2018. Thematic content analysis was carried out from transcribed verbatim interviews. We identified nine major themes that emerged from the participants’ conversations: self-imposed duties, muscle fatigue, overwhelming feeling of tiredness, difficulty thinking, difficulty concentrating, negative emotions, lifestyle changes, affected everyday activities, and lack of motivation for daily activities and social interactions. We conclude that the ABC model allowed certain elements to emerge regarding the fatigue experience, highlighting its importance as a symptom in fibromyalgia. This additional analysis of the ABC model showed that fatigue can be described through the 4 U’s Rule, which is integrated by these four adjectives: (1) Unpredictable, (2) Uncontrollable, (3) Unseen, and (4) Unintelligible. Identifying these characteristics can contribute to a better understanding of fibromyalgia in addition to better treatment for these patients.
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spelling pubmed-75043002020-09-24 The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study Velasco-Furlong, Lilian Gutiérrez-Hermoso, Lorena Mateos-Pintado, Beatriz Castro, Daniel Garvi-de Blanco-Rico, Sheila Sanromán-Canelada, Lucía López-Roig, Sofía Pastor-Mira, María Ángeles Peñacoba-Puente, Cecilia Int J Environ Res Public Health Article Although fatigue usually goes unnoticed, it is a symptom that poses great challenges to patients with fibromyalgia and is a strong limitation. The aim of this study is to identify and describe the variables involved in fatigue in nine different situations of the Goal Pursuit Questionnaire (GPQ) that may occur in the daily lives of women with fibromyalgia, according to an ABC (Antecedents–Behaviors–Consequences) model. This study followed a qualitative descriptive research method and a deductive–inductive hybrid approach based on a phenomenological paradigm. Twenty-six women with fibromyalgia participated in focus group discussions between February and March of 2018. Thematic content analysis was carried out from transcribed verbatim interviews. We identified nine major themes that emerged from the participants’ conversations: self-imposed duties, muscle fatigue, overwhelming feeling of tiredness, difficulty thinking, difficulty concentrating, negative emotions, lifestyle changes, affected everyday activities, and lack of motivation for daily activities and social interactions. We conclude that the ABC model allowed certain elements to emerge regarding the fatigue experience, highlighting its importance as a symptom in fibromyalgia. This additional analysis of the ABC model showed that fatigue can be described through the 4 U’s Rule, which is integrated by these four adjectives: (1) Unpredictable, (2) Uncontrollable, (3) Unseen, and (4) Unintelligible. Identifying these characteristics can contribute to a better understanding of fibromyalgia in addition to better treatment for these patients. MDPI 2020-08-27 2020-09 /pmc/articles/PMC7504300/ /pubmed/32867186 http://dx.doi.org/10.3390/ijerph17176224 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Velasco-Furlong, Lilian
Gutiérrez-Hermoso, Lorena
Mateos-Pintado, Beatriz
Castro, Daniel Garvi-de
Blanco-Rico, Sheila
Sanromán-Canelada, Lucía
López-Roig, Sofía
Pastor-Mira, María Ángeles
Peñacoba-Puente, Cecilia
The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study
title The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study
title_full The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study
title_fullStr The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study
title_full_unstemmed The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study
title_short The 4 U’s Rule of Fibromyalgia: A Proposed Model for Fatigue in a Sample of Women with Fibromyalgia: A Qualitative Study
title_sort 4 u’s rule of fibromyalgia: a proposed model for fatigue in a sample of women with fibromyalgia: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504300/
https://www.ncbi.nlm.nih.gov/pubmed/32867186
http://dx.doi.org/10.3390/ijerph17176224
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